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Related Concept Videos

Tracheostomy: Procedure and Tubes01:28

Tracheostomy: Procedure and Tubes

716
A tracheostomy is a surgical procedure that creates an artificial opening into the trachea, typically at the second or third cartilaginous ring level. This opening allows the insertion of a tracheostomy tube, which can replace an endotracheal tube, provide mechanical ventilation, bypass an upper airway obstruction, or remove accumulated tracheobronchial secretions.
Tracheostomy tubes can be made of semiflexible plastic (polyurethane or silicone), rigid plastic, or metal, and they come in...
716
Tracheostomy Care I: Pre-procedural Steps01:16

Tracheostomy Care I: Pre-procedural Steps

236
A tracheostomy is a surgical technique that involves making an incision in the neck to provide access to the trachea. It is frequently used in medical conditions such as airway obstruction and prolonged mechanical ventilation. Effective nursing management is crucial for the long-term success of a tracheostomy.
Required Equipment
The equipment necessary for tracheostomy care includes:
236
Tracheostomy Care II: Procedure01:25

Tracheostomy Care II: Procedure

239
Tracheostomy care is an essential nursing skill that involves cleaning and maintaining a tracheostomy tube to prevent infection and other complications. Here's a step-by-step guide explaining each procedure with its rationale. Note that disposable gloves are to be worn at all times and changed as often as needed to maintain a sterile work environment, and to protect both patient and healthcare worker.
Step 1: Perform hand hygiene, and put on personal protective equipment: gown, gloves, mask...
239
Tracheostomy Suctioning II: Procedure01:23

Tracheostomy Suctioning II: Procedure

328
Tracheostomy suctioning is a vital nursing procedure that involves removing secretions from the tracheostomy tube to maintain airway patency and prevent respiratory complications. Nurses need to understand the proper technique for tracheostomy suctioning to ensure patient safety and comfort. In this guide, we will outline the step-by-step process for performing tracheostomy suctioning, including preparing the sterile field, donning personal protective equipment (PPE), lubricating and connecting...
328
Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques01:30

Cardiopulmonary Resuscitation V: Advanced Airway Management Techniques

20
Airway management is essential in emergency and surgical medicine, ensuring ventilation and oxygenation in patients who cannot maintain their own airway. Clinicians use a range of techniques and devices to secure the airway, depending on the patient’s condition and the clinical context. Key methods include endotracheal intubation, rapid sequence intubation (RSI), supraglottic airway devices, and advanced visualization aids. In cases where these approaches fail, surgical airway...
20
Tracheostomy Decannulation01:21

Tracheostomy Decannulation

236
Tracheostomy decannulation is a significant milestone in the liberation of mechanically ventilated patients. Despite its importance, there is no universally accepted protocol for this procedure. This demands an evidence-based, individualized approach.
Description of the Procedure
Decannulation refers to the permanent removal of the tracheostomy tube, signaling the resolution of the condition that initially necessitated the tracheostomy. The process requires a well-coordinated interplay between...
236

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Related Experiment Video

Updated: Jul 17, 2025

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications
04:43

Endotracheal Intubation via Tracheotomy and Subsequent Thoracotomy in Rats for Non-Survival Applications

Published on: March 15, 2024

648

A Modified Technique for Percutaneous Dilatational Tracheostomy.

Zahra Ghotbi1, Mehrdad Estakhr1, Mehdi Nikandish2

  • 1Clinical Neurology Research Center, Research Tower, Shiraz University of Medical Sciences, Shiraz, Iran.

Journal of Intensive Care Medicine
|September 1, 2023
PubMed
Summary
This summary is machine-generated.

This modified percutaneous dilatational tracheostomy (PDT) technique prevents airway loss and desaturation in ventilated patients. The study found this safe, cost-effective method avoids complications without bronchoscopy or sonography.

Keywords:
accidental intraprocedural airway lossdesaturationpercutaneous dilatational tracheostomytracheostomy

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Area of Science:

  • Medical procedures
  • Critical care medicine
  • Airway management

Background:

  • Percutaneous dilatational tracheostomy (PDT) is crucial for weaning patients from mechanical ventilation.
  • Current PDT techniques carry risks of accidental airway loss and desaturation.
  • There is a need for safer, more effective PDT methods.

Purpose of the Study:

  • To evaluate a modified PDT technique designed to minimize intraprocedural airway loss and desaturation.
  • To assess the safety and efficacy of this modified PDT approach in a clinical setting.
  • To determine if adjuncts like bronchoscopy and sonography can be omitted.

Main Methods:

  • A single-center, prospective cohort study involving 100 patients undergoing the modified PDT technique.
  • The modification involves gradual withdrawal of the endotracheal tube (ETT) instead of immediate repositioning.
  • Procedure conducted at Namazi teaching hospital, Shiraz University of Medical Sciences.

Main Results:

  • Successful PDT completion in all 100 patients.
  • No instances of life-threatening complications, accidental airway loss, or desaturation were recorded.
  • Average procedure time was 255 seconds (SD 67).

Conclusions:

  • The modified PDT technique is safe and associated with a low complication rate.
  • This method effectively eliminates the risk of accidental intraprocedural airway loss.
  • Omitting bronchoscopy and sonography enhances cost-effectiveness and security without compromising safety.